Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07454 | Date 03/02/2020 |
| Token No | SM/19-20/17477 03/02/2020 | Serial | 007 Last Visit: 03/02/2020 |
| Patient Name | Miss NAIZIYA PARVEEN | Contact No | 7439098615 |
| Address | 31/A GANDHI SARAK,RISHRA | Age | 7 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 16 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||